| Mohit Sourabh Kasibhatla, MD | |
|
524 Moye Blvd, Greenville, NC 27834-2848 | |
| (252) 551-6300 | |
| (252) 551-6391 |
| Full Name | Mohit Sourabh Kasibhatla |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 26 Years |
| Location | 524 Moye Blvd, Greenville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841382660 | NPI | - | NPPES |
| 008032332 | Medicaid | CT | |
| P00756245 | Other | RI | RAILROAD MEDICARE - RWRT |
| P01044492 | Other | RI | RAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER |
| MK69589 | Medicaid | RI | |
| 7263727 | Other | RI | AETNA |
| P00762785 | Other | RI | RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI |
| P00912570 | Other | RI | RAILROAD MEDICARE - SOUTH COUNTY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 2006-01262 (North Carolina) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | MD12575 (Rhode Island) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unc Lenoir Health Care | Kinston, NC | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Vidant Roanoke Chowan Hospital | Ahoskie, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Radiation Oncology Llc | 2567768021 | 9 |
| Entity Name | Vidant Radiation Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821465642 PECOS PAC ID: 2567768021 Enrollment ID: O20160309000852 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohit Sourabh Kasibhatla, MD 524 Moye Blvd, Greenville, NC 27834-2848 Ph: (252) 551-6300 | Mohit Sourabh Kasibhatla, MD 524 Moye Blvd, Greenville, NC 27834-2848 Ph: (252) 551-6300 |
Dr. Evan Michael Leitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 529-317-6942 | |
Michael Robert Coan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
George Lee Jordan Iii, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
Dr. Rakesh Devendra Amin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 | |
Michael David Tripp, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
Dr. Eric Meyer Martin, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 | |
Meredith Lynn Collins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 |